comprehensive_module__with_rationale.

Questions 1. 1.ID: A nurse in a physician's office is reviewing the medical record of a child with a diagnosis of lactose intolerance. Which of the following findings does the nurse expect to see documented in the child's record? A. Fatty stools B. Episodes of foul-smelling ribbonlike stools C. Episodes of profuse watery diarrhea and vomiting D. Episodes of cramping abdominal pain and excessive flatus Correct Awarded 1.0 points out of 1.0 possible points. 2. 2.ID: Warfarin sodium (Coumadin) is prescribed for a hospitalized client. While transcribing the physician's prescription, the nurse notes that the client is taking levothyroxine (Synthroid) to treat hypothyroidism. The nurse calls the physician to confirm the prescription for warfarin sodium because: A. Warfarin sodium amplifies the effect of levothyroxine B. Levothyroxine amplifies the effect of warfarin sodium Correct C. Warfarin sodium is contraindicated with the use of levothyroxine D. A severe allergic reaction may occur if warfarin sodium is administered concurrently with levothyroxine Rationale: Levothyroxine accelerates the degradation of vitamin K–dependent clotting factors. As a result, the effects of warfarin sodium are enhanced. If warfarin sodium administration is instituted in a client who takes levothyroxine, the dose of warfarin sodium should be reduced. Warfarin sodium is not contraindicated in the client who is using levothyroxine. Concurrent administration does not cause an allergic reaction. Test-Taking Strategy: Knowledge regarding the medication interactions that may occur with levothyroxine is required to answer the question. Remember that levothyroxine accelerates the degradation of vitamin K–dependent clotting Rationale: Manifestations of lactose intolerance include diarrhea that is frothy (but not fatty), abdominal distention, cramping abdominal pain, and excessive flatus. The presence of fatty stools may indicate a problem with bile flow. Foul- smelling ribbonlike stool is a clinical manifestation of Hirschsprung disease. Profuse watery diarrhea and vomiting is one clinical manifestation of celiac disease.